MEDICARE: DR. GORDON CHRISTOPHER STEINAGLE M.P.H.,D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	177914-1	NY

General Provider Information

NPI Number	:	1346464237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GORDON CHRISTOPHER STEINAGLE M.P.H.,D.O.

Provider Business Mailing Address
First Line	:	51 WEBSTER ST
Second Line	:
City	:	N TONAWANDA
State	:	NY
Zip	:	14120-5811
Country	:	US
Telephone Number	:	716-692-6541
Fax Number	:	716-692-7091

Provider Business Practice Location Address
First Line	:	51 WEBSTER ST
Second Line	:
City	:	N TONAWANDA
State	:	NY
Zip	:	14120-5811
Country	:	US
Telephone Number	:	716-692-6541
Fax Number	:	716-692-7091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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